Marguerite A Sears, LMT

Individual provider Active NPI Massage Therapist · Calverton, NY

NPI 1225629124 · NPPES record last updated Feb 2, 2021

Key facts

NPI
1225629124
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
008803 (NY)
Practice address
9 Gregory Way
Calverton, NY 11933-1137
Phone
(631) 369-9218
Fax
(631) 369-0988
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
008803NYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 008803 NY Yes

Addresses

Primary practice location

9 Gregory Way
Calverton, NY 11933-1137

Mailing address

9 Gregory Way
Calverton, NY 11933-1137
Phone (631) 369-9218

Other providers in Calverton, NY

All providers in Calverton, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.